Attachment_4_N00019-22-R-0044_BID_DD254_signed_2ndDraft.pdf

PDF 125 KB Posted

Attached to
H-53 Depot Level Modifications IDIQ Federal contract opportunity
Solicitation number
N0001922R0044
Issued by
Department of the Navy Naval Air Systems Command

About this file

This document provides details for a forthcoming solicitation for H-53 Depot Level Modifications Indefinite-Delivery/Indefinite-Quantity contract. The Naval Air Systems Command intends to issue a Request for Proposal under solicitation number N0001922R0044 to provide personnel to perform fabrication, assembly, and support for prototyping, system integration, and installation of engineering changes to CH-53E, CH-53K, and MH-53E aircraft. An industry day will be held on December 7, 2021 in Lexington Park, Maryland and via Microsoft Teams to provide information on the planned effort and collect written questions from prospective offerors. The final date to submit advanced questions is December 2, 2021. The draft solicitation does not contain all required clauses and is expected to be released in the second quarter of fiscal year 2022. The effort will be set aside as a small business opportunity.

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Other files for this federal contract opportunity

Other files attached to H-53 Depot Level Modifications IDIQ, newest first.
File Type Posted
N0001922R0044 Q_A RFP Amendment 3.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table_2ndDraft.xlsx XLSX spreadsheet
Attachment_L5_Other Entity Cost Summary_2ndDraft.xlsx XLSX spreadsheet
Attachment_1_SOW_DEPOTMODIDIQCOMP_2ndDraft.docx DOCX document
Enclosure (1) H53 Depot Mod FY Schedule and Locations_2ndDraft.xlsx XLSX spreadsheet
Enclosure_(3)_GfpAttachmentTemplate_2ndDraft.pdf PDF
Attachment_L2_Corporate Experience Table T1_T2_2ndDraft.xlsx XLSX spreadsheet
Attachment_L3_Contract Reference Experience Tables_2ndDraft.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table_2ndDraft.xlsx XLSX spreadsheet
Attachment_L5_Other Entity Cost Summary_2ndDraft.xlsx XLSX spreadsheet
Attachment_L7_Proposed_Additional_GFP_Requirements_2ndDraft.xlsx XLSX spreadsheet
Attachment_L6_Section B CLINs and Prices_2ndDraft.docx DOCX document
DRAFT Exhibit_A_DD1423_CDRLS_2ndDraft.docx DOCX document
Enclosure_(5)_Over_and_Above_Work_Request_2ndDraft.docx DOCX document
Attachment_L1_TechLibraryContents_2ndDraft.xlsx XLSX spreadsheet
Attachment_L9_Business_System_Status_2ndDraft.xlsx XLSX spreadsheet
Summary of Changes_2ndDraft.docx DOCX document
Attachment_L8_Offeror_Information_Table_2ndDraft.xlsx XLSX spreadsheet
Enclosure_(4)_Blank_Engineering_Action_Chit_2ndDraft.pdf PDF
Draft N001922R0044_2ndDraft.docx DOCX document
N0001922R0044 IndustryDay 2 Brief.pptx PPTX presentation
Attachment_L4_CostPrice Summary Table 4-27-22.xlsx XLSX spreadsheet
Attachment_L5_CostPrice Summary Table 4-27-22.xlsx XLSX spreadsheet
Draft N0001922R0044_4-20-22.docx DOCX document
Enclosure (2) SOW_TD Alignment.xlsx XLSX spreadsheet
Enclosure_(4)_Blank_Engineering_Action_Chit.pdf PDF
Enclosure (1) H53 Depot Mod FY Schedule and Locations.xlsx XLSX spreadsheet
Attachment_L5_CostPrice Summary Table.xlsx XLSX spreadsheet
Attachment_L4_CostPrice Summary Table.xlsx XLSX spreadsheet
Attachment_L1_TechLibraryContents.xlsx XLSX spreadsheet
DRAFT Exhibit_A_DD1423_CDRLS.docx DOCX document
Attachment_L2_Corporate Experience Table T1_T2.xlsx XLSX spreadsheet
Attachment_3_ Labor Categories_ Rates.xlsx XLSX spreadsheet
Attachment_1_SOW_DEPOTMODIDIQCOMP.docx DOCX document
Enclosure_(6)_TechLibraryContents.xlsx XLSX spreadsheet
Enclosure_(5)_Over_and_Above_Work_Request.docx DOCX document
QA N0001922R0044 Form.xlsx XLSX spreadsheet
Attachment L6_Section B CLINs and Prices.docx DOCX document
Enclosure (3)_GfpAttachment.pdf PDF
Attachment_4_N00019-22-R-0044_BID_DD254_signed.pdf PDF
Attachment_L7_Proposed_Additional_GFP_Requirements.xlsx XLSX spreadsheet
Attachment_L8_Offeror_Information_Table.xlsx XLSX spreadsheet
Attachment_L3_Contract Reference Experience Tables.xlsx XLSX spreadsheet
N0001922R0044 Industry Day QA.xlsx XLSX spreadsheet
CUI_STATEMENT OF WORK_DEPOTCOMP_DRAFT FOR INDUSTRY DAY 24 Nov 21 (1).docx DOCX document
Draft Section B_NTC (1).xlsx XLSX spreadsheet
DRAFT DD1423 CDRLS_11.16.2021 (v2)_NTC.docx DOCX document
Draft N0001922R0044.docx DOCX document
Enclosure (X) H53 Depot Mod FY Schedule and Locations 24 Nov 21.xlsx XLSX spreadsheet
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CLASSIFICATION (When filled in): CUI

PREVIOUS EDITION IS OBSOLETE. Page 1 of 6DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 1 of 6DD FORM 254, MAY 2019

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

20220531

The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

Request For Proposal, Not Valid For Performance

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

N00019-22-R-0044

DUE DATE (YYYYMMDD)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20220209

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

Request For Proposal, Not Valid For Performance

b. CAGE CODE

N/A

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

N/A

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor) Add Row Remove last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE

b. CAGE CODE

N/A

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

CH-53E/CH-53K:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA Joint Base McGuire, Dix, Lakehurst, NJ

b. CAGE CODE (If applicable, see Instructions.)

N/A

a. LOCATION(S) (For actual performance, see instructions.)

CH-53E/CH-53K:

Marine Corp Air Station MCAS Futenma Okinawa, Japan Naval Air Station NAS Patuxent River, MD Marine Corp Air Station MCAS, Yuma, AZ

b. CAGE CODE (If applicable, see Instructions.)

N/A

PREVIOUS EDITION IS OBSOLETE. Page 2 of 6DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 2 of 6DD FORM 254, MAY 2019

a. LOCATION(S) (For actual performance, see instructions.)

MH-53E:

Naval Air Station NAS Norfolk, VA

b. CAGE CODE (If applicable, see Instructions.)

N/A

MH-53E: (Bahrain) (HM-15 Det II Aviation Unit Arradous Highway Muharraq, Bahrain 07373)

b. CAGE CODE (If applicable, see Instructions.)

N/A

MH-53E: (Korea) (HM-14 Det 2A

M15017 KYUNBUK-DO POHANG CITY NAMGU

OCHEON-UP SAEGAE 3RD RI 99-1

CAMP MUJUK KR)

b. CAGE CODE (If applicable, see Instructions.)

N/A

MH/CH-53E Trainer:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA

b. CAGE CODE (If applicable, see Instructions.)

N/A

MH/CH-53E Trainer:

Joint Base McGuire, Dix, Lakehurst, NJ Marine Corp Air Station MCAS Futenma Okinawa, Japan Naval Air Station NAS Norfolk, VA

b. CAGE CODE (If applicable, see Instructions.)

N/A

CH-53K Trainer:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA

b. CAGE CODE (If applicable, see Instructions.)

N/A

CH-53K Trainer:

Joint Base McGuire, Dix, Lakehurst, NJ Marine Corp Air Station MCAS, Yuma, AZ Marine Corp Air Station MCAS Futenma, Okinawa, Japan

b. CAGE CODE (If applicable, see Instructions.)

N/A

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

CH-53E, CH-53K, and MH-53E require depot modifications to support fleet requirements.

The Contractor shall provide personnel necessary to perform non-recurring and recurring efforts required to fabricate, assemble, and support prototyping/system integration/installation of Engineering Changes to aircraft designated by the H-53 Program Office, PMA-261. This contract includes tasking associated with installation of modifications on aircraft intended for Foreign Military Sales (FMS).

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

PREVIOUS EDITION IS OBSOLETE. Page 3 of 6DD FORM 254, MAY 2019 PREVIOUS EDITION IS OBSOLETE. Page 3 of 6DD FORM 254, MAY 2019

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

b. RESTRICTED DATA g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.) h. FOREIGN GOVERMENT INFORMATION

d. FORMERLY RESTRICTED DATA i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDM 5200.01, Volume 4 only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority.

Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

DIRECT THROUGH (Specify below)

Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s))

Public Release Authority:

Submit ALL Public Releases to: PMA-261 NAVAIR FORM 5720.10 must be completed and attached.

13. SECURITY GUIDANCE Add Signature Remove last Signature Delete All Signatures

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract;

and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to A0N0000 for approval prior to presentation. Unclassified material submitted for public release (that is not to be presented at classified symposia) shall be forwarded for review prior to release as stated in item 12 above. All controlled unclassified and classified technical information shall be appropriately marked with distribution statements as specified in DoDI 5230.24 (Distribution Statements on Technical Documents) http://www.dtic.mil/whs/directives/corres/pdf/523024p.pdf.

Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.

All contracts with non-Sensitive Compartmented Information and Non-Compartmented work that may reveal mission-related information of a sensitive activity or sensitive operation should be routed to the NAVAIR STILO for approval.

The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.

PREVIOUS EDITION IS OBSOLETE. Page 4 of 6DD FORM 254, MAY 2019

10.a – Classified COMSEC material is not releasable to contractor employees who have not received a final security clearance at the appropriate level. Cryptologic keying materials and Controlled Cryptographic Items (CCI) are controlled by Department of the Navy, NISPOM, and National Security Agency (NSA) guidelines. The contractor shall be guided by NSA/CSS Policy Manual 3-16 in the control and protection of COMSEC material/information at their facilities. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by DoD 5520.22-M, EKMS 1 (series) and Command policy and procedures.

Written concurrence of the Technical Point of Contact identified in Block 16, or Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10.j/11.l – Controlled Unclassified Information including Legacy FOUO and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction

5200.48 (Controlled Unclassified Information) (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/ dodi/520048p.PDF. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosure 3-4.

All Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting CUI/Legacy FOUO/ CDI over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access System / Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Infrastructure & Public Key Enabling, DoDI 8520.02, 24 May 2011.

11.a – All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.

The following Security Classification Guide(s) apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

(02-096.03) - H-53 Helicopters - dated 08 November 2019

Digital Interoperability - Medium: Wideband Small Tactical Terminal (STT), KOR-24A, Operational Security Doctrine (OSD) manual (DOC-029-13), December 2013

Specific Security Classification Guidance (SCGs), to include subsequent upgrades/revision(s), applying to classified performance on this contract, shall be provided by the Contracting Officer Representative or Technical Point of Contact, identified in Blk 16, as Government Furnished Information (GFI); and shall be executed by the Contractor without obligation to modify this DD Form 254. If additional security classification is required, contact the COR identified in Blk 16d.

11.f –The contractor shall require access at MCAS Futenma, Okinawa, Japan, HM-15 Det II Aviation Unit Muharraq, Bahrain, HM-14 Det 2A Camp Mujuk, Korea, in performance of this contract.

11.j – OPSEC: While performing aboard NAVAIR or other U.S. military sites, the contractor shall comply with the provisions of OPNAVINST 3432.1, the local Command/Facility 3432 Instruction Series (OPSEC), as well as any procedures identified in Program- Specific Operations Security Plans and Program Protection Plans (PPP) as applicable. The contractor shall comply with any and all additional OPSEC security plans and requirements of the Hosting Command. All applicable OPSEC Plans will be provided by TPOC identified in Block 16. The prime contractor is responsible for subcontractor implementation of Operations Security.

If additional security classification assistance is required, please contact the TPOC listed in block 16d.

**********************************END DD254 ADDITIONAL DATA SHEET*****************************************

PREVIOUS EDITION IS OBSOLETE. Page 5 of 6DD FORM 254, MAY 2019

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

Add Attachment View Selected Attachment Remove Selected Attachment

NAME & TITLE OF REVIEWING OFFICIAL

N/A

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

OPSEC in Contract

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item

13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

Naval Air Systems Command

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

N00019

c. ADDRESS (Include ZIP Code)

47123 BUSE RD, BLDG 2272, SUITE 155

PATUXENT RIVER, MD 20670-1547

d. POC NAME

Ronald J. Dominiecki

e. POC TELEPHONE (Include Area Code)

+1 (301) 769-9258

f. EMAIL ADDRESS (See Instructions) ronald.j.dominiecki.civ@us.navy.mil

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

Davis, Mark A

b. TITLE

Contracting Officer's Representative for Security

c. ADDRESS (Include ZIP Code) Commander, Naval Air Warfare Center Aircraft Division Bldg. 1489, Rm. 122, Attn: Industrial Security 22095 Fortin Circle, Patuxent River, MD 20670-1139

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

N00019

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

f. TELEPHONE (Include Area Code)

+1 (301) 342-6045

g. EMAIL ADDRESS (See Instructions) mark.a.davis15.civ@us.navy.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

PREVIOUS EDITION IS OBSOLETE. Page 6 of 6DD FORM 254, MAY 2019

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

Page of

DD FORM 254, MAY 2019

NEEDS DD67

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

20220531 The public reporting burden for this collection of information, 0704-0567, is estimated to average 70 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

b. REVISED (Supersedes all previous specifications.)

4. IS THIS A FOLLOW-ON CONTRACT?

If yes, complete the following:

Classified material received or generated under

5. IS THIS A FINAL DD FORM 254?

If yes, complete the following:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor)

8. ACTUAL PERFORMANCE (Click button to add more locations.)

10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

e. NATIONAL INTELLIGENCE INFORMATION:

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

13. SECURITY GUIDANCE

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable PDF.)

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. (See instructions for additional guidance or use of the fillable PDF.)

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

9.0.0.2.20120627.2.874785 DD 254, DoD Contract Security Classification Specification whs.mc-alex.esd.mbx.formswebmaster@mail.mil

WHS

List of Attachments (All Files Must be Attached Prior to Signing, i.e., for any digital signature on the form)

CurrentPage:
PageCount:
Classification: CUI
SerialNum:
a. Facility clearance level. Select one.: 2
b. Level of safeguarding for classified information/material required at contractor facility. Select one.: 4
Choose Yes or No: 0
Choose Yes or No: 1
Prime: Request For Proposal, Not Valid For Performance
Choose Yes or No: 0
Choose Yes or No: 0
Sub:
Choose Yes or No: 1
Choose Yes or No: 0
Soli: N00019-22-R-0044
DueDate:
dateA: 2022-02-09
RevisionNum:
dateB:
Final:
dateC:
No: 1
No: 1
No: 0
No: 1
Yes: 0
Yes: 0
Yes: 1
Yes: 0
Enter your name here.:
ReqDated:
Enter your name here.:
Name:

Request For Proposal, Not Valid For Performance Name:

N/A

Name: Davis, Mark A
Cage: N/A
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Location: CH-53E/CH-53K:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA Joint Base McGuire, Dix, Lakehurst, NJ Location: CH-53E/CH-53K:

Marine Corp Air Station MCAS Futenma Okinawa, Japan Naval Air Station NAS Patuxent River, MD Marine Corp Air Station MCAS, Yuma, AZ Location: MH-53E:

Naval Air Station NAS Norfolk, VA Location: MH-53E: (Bahrain) (HM-15 Det II Aviation Unit Arradous Highway Muharraq, Bahrain 07373) Location: MH-53E: (Korea) (HM-14 Det 2A

M15017 KYUNBUK-DO POHANG CITY NAMGU

OCHEON-UP SAEGAE 3RD RI 99-1

CAMP MUJUK KR)

Location: MH/CH-53E Trainer:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA Location: MH/CH-53E Trainer:

Joint Base McGuire, Dix, Lakehurst, NJ Marine Corp Air Station MCAS Futenma Okinawa, Japan Naval Air Station NAS Norfolk, VA Location: CH-53K Trainer:

Marine Corp Air Station MCAS New River, NC Marine Corp Air Station MCAS Miramar, CA Location: CH-53K Trainer:

Joint Base McGuire, Dix, Lakehurst, NJ Marine Corp Air Station MCAS, Yuma, AZ Marine Corp Air Station MCAS Futenma, Okinawa, Japan Block9:

CH-53E, CH-53K, and MH-53E require depot modifications to support fleet requirements.

The Contractor shall provide personnel necessary to perform non-recurring and recurring efforts required to fabricate, assemble, and support prototyping/system integration/installation of Engineering Changes to aircraft designated by the H-53 Program Office, PMA-261. This contract includes tasking associated with installation of modifications on aircraft intended for Foreign Military Sales (FMS).

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Enter your name here.: Transmissions by non-secure facsimile or E-mail is NOT authorized (by Prime or subcontractor(s))
PublicAuthority: Submit ALL Public Releases to: PMA-261

NAVAIR FORM 5720.10 must be completed and attached.

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text: Technical papers, briefings, presentations, either classified or unclassified to be presented at classified symposia must be submitted to A0N0000 for approval prior to presentation. Unclassified material submitted for public release (that is not to be presented at classified symposia) shall be forwarded for review prior to release as stated in item 12 above. All controlled unclassified and classified technical information shall be appropriately marked with distribution statements as specified in DoDI 5230.24 (Distribution Statements on Technical Documents) http://www.dtic.mil/whs/directives/corres/pdf/523024p.pdf.

Determination of need-to-know in connection with a classified visit is the responsibility of the individual/host who will disclose the classified information.

All contracts with non-Sensitive Compartmented Information and Non-Compartmented work that may reveal mission-related information of a sensitive activity or sensitive operation should be routed to the NAVAIR STILO for approval.

The COR, TPOC, and Government Security Office, concerning instances of possible loss, compromise, and electronic spillage of classified or controlled unclassified information shall be notified immediately upon discovery and/or no later than 72 hours of discovery.

10.a – Classified COMSEC material is not releasable to contractor employees who have not received a final security clearance at the appropriate level. Cryptologic keying materials and Controlled Cryptographic Items (CCI) are controlled by Department of the Navy, NISPOM, and National Security Agency (NSA) guidelines. The contractor shall be guided by NSA/CSS Policy Manual 3-16 in the control and protection of COMSEC material/information at their facilities. When access is required at Government facilities, contractor personnel will adhere to COMSEC rules and regulations as mandated by DoD 5520.22-M, EKMS 1 (series) and Command policy and procedures. Written concurrence of the Technical Point of Contact identified in Block 16, or Contracting Officer Representative/Contracting Officer Representative for Security (as applicable) is required prior to subcontracting.

10.j/11.l – Controlled Unclassified Information including Legacy FOUO and Covered Defense Information (meeting the definition of 48 CFR 252.204–7012(a)) generated and/or provided under this contract shall be marked and safeguarded as specified in DoD Instruction 5200.48 (Controlled Unclassified Information) (CUI)) available at https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/520048p.PDF. Any product containing Covered Defense Information shall be assigned the appropriate distribution statement using the criteria set forth in DoDI 5230.24 (Distribution Statements on Technical Documents); and have this statement displayed per DoDI 5230.24, Enclosure 3-4.

All Covered Defense Information (CDI), Legacy FOUO, and program Controlled Unclassified Information (CUI) data transmitted and safeguarded via electronic means shall use approved encryption. The Contractor shall ensure that when transmitting CUI/Legacy FOUO/CDI over non-secure e-mail (e.g. not connected to the Navy Marine Corps Intranet through Broadband Unclassified Remote Access System / Virtual Private network), those transmissions are encrypted using Department of Defense Public Key Infrastructure (PKI), or an approved DoD External Certificate Authority, in accordance with Public Key Infrastructure & Public Key Enabling, DoDI 8520.02, 24 May 2011.

11.a – All classified information/material shall be provided by the contractor facility or Government Contracting Activity (GCA) and safeguarded at the approved actual performance site.

The following Security Classification Guide(s) apply to classified performance on this contract. Subsequent updates shall be provided by the Technical Point of Contact/Contracting Officer Representative/Contracting Officer Security Representative (as applicable) as Government Furnished Information (GFI) and shall be executed by the Contractor without obligation to modify this DD Form 254.

(02-096.03) - H-53 Helicopters - dated 08 November 2019

Digital Interoperability - Medium: Wideband Small Tactical Terminal (STT), KOR-24A, Operational Security Doctrine (OSD) manual (DOC-029-13), December 2013

Specific Security Classification Guidance (SCGs), to include subsequent upgrades/revision(s), applying to classified performance on this contract, shall be provided by the Contracting Officer Representative or Technical Point of Contact, identified in Blk 16, as Government Furnished Information (GFI); and shall be executed by the Contractor without obligation to modify this DD Form 254. If additional security classification is required, contact the COR identified in Blk 16d.

11.f –The contractor shall require access at MCAS Futenma, Okinawa, Japan, HM-15 Det II Aviation Unit Muharraq, Bahrain, HM-14 Det 2A Camp Mujuk, Korea, in performance of this contract.

11.j – OPSEC: While performing aboard NAVAIR or other U.S. military sites, the contractor shall comply with the provisions of OPNAVINST 3432.1, the local Command/Facility 3432 Instruction Series (OPSEC), as well as any procedures identified in Program-Specific Operations Security Plans and Program Protection Plans (PPP) as applicable. The contractor shall comply with any and all additional OPSEC security plans and requirements of the Hosting Command. All applicable OPSEC Plans will be provided by TPOC identified in Block 16. The prime contractor is responsible for subcontractor implementation of Operations Security.

If additional security classification assistance is required, please contact the TPOC listed in block 16d.

**********************************END DD254 ADDITIONAL DATA SHEET***************************************** text:

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Enter your name here.: OPSEC in Contract
GCAName: Naval Air Systems Command
AAC: N00019
AAC: N00019
Address:

47123 BUSE RD, BLDG 2272, SUITE 155

PATUXENT RIVER, MD 20670-1547

Address: Commander, Naval Air Warfare Center Aircraft Division Bldg. 1489, Rm. 122, Attn: Industrial Security 22095 Fortin Circle, Patuxent River, MD 20670-1139

POCName: Ronald J. Dominiecki
Phone: 3017699258
Phone: 3013426045
Email: ronald.j.dominiecki.civ@us.navy.mil
Email: mark.a.davis15.civ@us.navy.mil
Title: Contracting Officer's Representative for Security
Enter the date using the format DD-Mon-YYYY:

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